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July 1930


Arch Ophthalmol. 1930;4(1):84-89. doi:10.1001/archopht.1930.00810090092007

A study of 5,000 case records was recently made to ascertain how frequently weakness of accommodation was found. It developed into a most interesting piece of work because it revealed certain surprises, a few of which will probably be of sufficient interest to warrant a paper.

The points noted in the examination were as follows :

  1. Name, age and occupation; history, complaint and objective examination.

  2. Vision without present glasses, with glasses, and by manifest refraction ; a record of various previously purchased glasses, date of purchase and whether or not refraction was by cycloplegic.

  3. If vision was 6/12 or better, the near point of accommodation was measured.

  4. Muscular balance, duction tests and near point of convergence.

  5. Dark room examination.

  6. Examination with cycloplegic, objective and subjective.

  7. Final test a week later (if atropine was used, two weeks later). Glasses ordered; patient requested to return with glasses.

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